• Atencion primaria · Mar 2017

    [Cardiovascular risk factors in the population at risk of poverty and social exclusión].

    • Carlos Álvarez-Fernández, Manuel Vaquero-Abellán, África Ruíz-Gandara, Manuel Romero-Saldaña, and Carlos Álvarez-López.
    • Departamento de Seguridad y Salud Laboral, Ayuntamiento de Córdoba, Córdoba, España. Electronic address: craf.19arauco@hotmail.com.
    • Aten Primaria. 2017 Mar 1; 49 (3): 140149140-149.

    GoalsDetect if there are differences in prevalence, distribution of cardiovascular risk factors and risk according to REGICOR and SCORE's function; between people belonging to different occupational classes and population at risk of social exclusion.DesignCross-sectional. SITE: Occupational health unit of the City Hall of Córdoba.ParticipantsSample availability of 628 people, excluding 59 by age or incomplete data. The group of municipal workers was obtained randomly while all contracted exclusion risk was taken.InterventionNo preventive, diagnostic or therapeutic actions that modify the course of the previous situation of workers were applied.Main MeasurementsSmoke, glucose, lipids, blood pressure and BMI as main variables. T-student were used for comparison of means and percentages for Chi2. Statistical significance attached to an alpha error <5% and confidence interval with a 95% security. Receiver operator curves (ROC) were employed to find out what explanatory variables predict group membership of workers at risk of exclusion.ResultsSmoking (95% CI: -.224;-.443), hypercholesterolemia (95% CI: -.127;-.320), obesity (95% CI: -.005;-0.214), diabetes (95% CI: -.060;-.211) and cardiovascular risk were higher in men at risk of exclusion. In women there were differences in the same variables except smoking (P=.053).ConclusionsThe existence of inequalities in prevalence of cardiovascular risk factors is checked. In a context of social crisis, health promotion and primary prevention programs directing to the most vulnerable, they are needed to mit.Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

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